How Do You Look Something up in the NPI Registry?


Quick Answer

The National Provider Identifier Standard, called NPI, registry is searchable as part of the National Plan and Provider Enumeration System website. The NPI registry search is used to find information about individual or organizational providers using names or locations and allows wild card searches, explains its website.

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Full Answer

NPI is a unique 10-digit identifier established as part of the Health Insurance Portability and Accountability Act administration standards, according to the Centers for Medicaid and Medicare Services. NPI is considered an intelligence-free number because it does not include any data such as the location of the provider or his specialty. The final rule on NPI use was issued on Jan. 23, 2004, according to the Centers for Medicaid and Medicare Services. HIPAA regulations require that NPI be shared with other providers, health plans, and any entity or individual who might need it for billing purposes. The searchable NPI registry makes the NPI publicly available.

The NPI registry search provides information about covered health care providers including doctors such as the provider's name, address, contact information and specialties as well as license numbers for individuals. The date on which the registration number was assigned is also included as the date of enumeration in addition to other identifiers, such as Medicaid and Medicare provider numbers.

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